What is reactive arthritis?

When one thinks of arthritis, a poor diet, lack of exercise, and sport injuries usually come to mind. However, research has shown that what is known as reactive arthritis develops in reaction to an infection in the body. Infections may originate from foodborne bacteria in the intestines or from urinary tract infections, but most often from the genital area. Both men and women can fall victim to foodborne and other bacteria, but studies have shown men are more prone to developing reactive arthritis from a sexually transmitted infection (STI) than women are. Reactive arthritis is not contagious, but the bacteria causing it can easily be transmitted during unprotected sex.

Symptoms of reactive arthritis

Signs and symptoms usually start about two to three weeks after the body has been exposed to a contributing infection. These can include:

• Joint pain targeting the knees, ankles, and feet — pain that has never bothered you before. Your lower back could also be affected in the sciatic nerve area, causing leg pain.
• Many people who suffer from reactive arthritis are prone to eye inflammation, such as conjunctivitis.
• Your skin can be affected in a variety of ways, with a rash on your hands and arms. Mouth sores, similar to herpes, may also develop.

If you develop any of these symptoms about three weeks after unprotected sex, contact your doctor. It is important to know whether you have contracted a genital infection, which could be a highly contagious STI.

STIs that can lead to reactive arthritis

Studies have shown that almost all sexually transmitted infections can result in reactive arthritis. In the US, the most prevalent STI is chlamydia, which is contracted by an estimated 1.8 million Americans each year. This is a very infectious STI, affecting both men and women, and it contributes significantly to reactive arthritis. Unfortunately, chlamydia often has few or no symptoms until the condition has well and truly taken hold. The symptoms can be quite severe, affecting the sex life of both men and women, mainly in the genital areas.

Treatment for STIs

Chlamydia and other STIs respond well to treatment, usually in the form of oral antibiotics. It is very important to complete the course, and to visit the doctor to make sure it has completely cleared up. Refrain from sex for at least 7 to 10 days, or until the doctor says it is okay to resume sexual relations. Always use a condom if you are sexually active. Better safe than sorry, as the saying goes!

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